Ezutromid (BMN-195, SMTC-1100)   中文名称: 依珠曲米

utrophin (EC50 = 0.91 μM); CYP1 enzyme

ezutromid 可诱导人类肌肉细胞中 utropin RNA 水平升高。治疗三天后，用 Ezutromid 处理的人 DMD 细胞中的 utropin 蛋白水平在最佳浓度 0.3 uM 下增加了一倍。 Ezutromid 被认为是安全且耐受性良好的，因为血浆浓度足够高，可导致细胞内 utropin 浓度上升 50%。 Ezutromid 使 Utrn mRNA 水平提高 30%，使 UTRN 蛋白水平提高 2.0 倍[3][4][5]。

在这项研究中，研究人员描述了SMT C1100的体内活性；第一个口服生物可利用的小分子utrophin上调剂。每天一次服用SMT C1100可以减少肌营养不良蛋白缺乏的许多病理影响。治疗可减少病理，改善肌肉生理，提高整体力量，并在强制运动后抵抗疲劳的能力；目前推荐作为DMD人体试验关键结果指标的六分钟步行测试的替代品。[3]
结论和意义：本研究证明了使用体外筛选方法鉴定utrophin转录上调的药物的原理。鉴定出的最佳化合物SMT C1100在DMD模型中显示出显著的疾病改善作用。我们的数据保证在DMD患者的临床试验中对这种化合物进行全面评估。[3]

体外代谢产物鉴定[2]
在人肝微粒体（HLM）中研究Ezutromid（BMN-195，SMTC-1100）。在加入NADPH（终浓度=1 mM）以引发反应之前，将微粒体（终浓度0.5mg/mL）、0.1M pH 7.4的磷酸盐缓冲液和试验化合物（终底物浓度=3µM；终DMSO浓度=0.25%）在37°C下预孵育。最终培养体积为25µL。对每种受试化合物进行对照培养，其中加入0.1 M pH 7.4的磷酸盐缓冲液代替NADPH。每个物种都含有两种对照化合物。对每种测试化合物单独进行所有孵育。每种化合物孵育0、5、15、30和45分钟。对照（减去NADPH）仅孵育45分钟。在适当的时间点加入50µL含甲醇内标终止反应。将培养板在4°C下以2500 rpm离心20分钟，以沉淀蛋白质。

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HTRF测定：utrophin定量[2]
使用人utrophin HTRF试剂盒。在这种情况下，使用两种不同的特异性抗体以夹心法检测utrophin，一种用Eu3+-Cryptate标记（供体），另一种用d2标记（受体）。当供体/受体对非常接近时，用光源（激光或闪光灯）激发供体会触发朝向受体的荧光共振能量转移（FRET），受体进而以特定波长（665nm）发出荧光。在两个不同波长（供体为620nm，受体为665nm）下测量HTRF发射，可以对数据进行比率测量，以校正分析成分和介质的井间变异性和信号淬灭。

富营养素萤火虫荧光素酶报告基因检测[2]
用5000个H2K-mdx-utrnA-luc细胞接种白色平底96孔板。在10%CO2和33°C下24小时后，从DMSO中的10 mM溶液储备中向细胞中加入化合物，一式三份（最终DMSO浓度为0.3%）。将细胞再孵育24小时（10%CO2，33°C）。使用FLUOstar Optima平板读数器测量使用萤光素酶测定系统试剂后的相对发光读数。用最小二乘回归的四参数逻辑斯谛函数（Levenberg-Marquardt算法）拟合生物三重样本的平均值，以计算EC50值。

Sedentary mice and drug treatment[3]
Three week-old male mdx (C57BL/10ScSn-Dmdmdx/J) littermates were randomly split between 2 groups and treated with Ezutromid (BMN-195, SMTC-1100) (50 mg/kg) or vehicle only (phosphate buffered saline (PBS), 0.1% Tween-20, 5% DMSO) via daily i.p. injection for four weeks. At the end of the drug treatment period mice were sacrificed by CO2 asphyxiation in accordance with Schedule I of the UK Animals (Scientific Procedures) Act 1986. C57BL/6 contractile properties were measured in EDL muscle dissected from eight week old untreated mice obtained at 4 week of age from Harlan (n = 5). All animal procedures were performed in accordance with UK Home Office regulations. In all other experiments described using the sedentary mdx mice dosing was by the oral gavage using a canula to deliver Ezutromid (BMN-195, SMTC-1100) or vehicle only on a daily basis for 28 days. At the end of this period the mice were sacrificed and muscle and blood samples were taken. Quantification of muscle and plasma levels of SMT C1100 was performed using CD1 mice.

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Exercised mice, treadmill running and drug treatment[3]
A total of 24 mdx male mice of 4–5 weeks of age, and homogeneous for body weight, underwent a 30 min running regime on an horizontal treadmill at 12 m/min, twice a week (keeping a constant interval of 2–3 days between each trial), for 4–6 weeks, according to a standard protocol. Experimental groups were treated as follows: vehicle only (n = 7), Ezutromid (BMN-195, SMTC-1100) (50 mg/kg; n = 6), α-methyl prednisolone (PDN; 1 mg/kg; n = 5) and combination of Ezutromid (BMN-195, SMTC-1100) (50 mg/kg) and PDN (1 mg/kg) (n = 6). Age and gender-matched wild type C57/BL10ScSn) or non-exercised mdx mice were also used for specific experimental purposes, as indicated in the text. The dose of PDN has been chosen based on our previous studies. The treatment started one day before the beginning of the exercise protocol, and continued until the day of sacrifice. Ezutromid (BMN-195, SMTC-1100) and the combination of PDN+Ezutromid (BMN-195, SMTC-1100) were dissolved in 5% DMSO, 0.1% Tween-20 in PBS, whilst PDN was dissolved in sterile water. Drugs were formulated for i.p. injection so that the correct dose was administered in 0.1 ml/10 g. Body weight was assessed weekly, as was fore-limb force by means of a grip strength meter. An exercise resistance test, consisting of horizontal running for 5 min at 5 m/min, then increasing the speed of 1 m/min each minute, was performed on week 0 and after four and five weeks of treatment. The total distance run by each mouse until exhaustion was measured. At the end of the 5th week of exercise/treatment the ex vivo experiments were also started. To this aim mice were deeply anesthetized and sacrificed using 1.2 g/kg urethane (i.p.) in accordance with the Italian Guidelines for the use of laboratory animals, which conform with the European Community Directive published in 1986 (86/609/EEC).

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Dissolved in phosphate buffered saline (PBS), 0.1% Tween-20, 5% DMSO); 50 mg/kg/day; Oral gavage

MDX Mice

[1]. Discovery of 2-arylbenzoxazoles as upregulators of utrophin production for the treatment of Duchenne muscular dystrophy. J Med Chem. 2011;54(9):3241-3250.

[2]. Isolation, Structural Identification, Synthesis, and Pharmacological Profiling of 1,2-trans-Dihydro-1,2-diol Metabolites of the Utrophin Modulator Ezutromid. J Med Chem. 2020;63(5):2547-2556.

[3]. Daily treatment with SMTC1100, a novel small molecule utrophin upregulator, dramatically reduces the dystrophic symptoms in the mdx mouse. PLoS One. 2011 May 6;6(5):e19189.

[4]. Safety, tolerability, and pharmacokinetics of SMT C1100, a 2-arylbenzoxazole utrophin modulator, following single- and multiple-dose administration to healthy male adult volunteers. J Clin Pharmacol. 2015 Jun;55(6):698-707.

[5]. Second-generation compound for the modulation of utrophin in the therapy of DMD. Hum Mol Genet. 2015 Aug 1;24(15):4212-24.

Ezutromid has been investigated for the treatment of Muscular Dystrophy, Duchenne.

C19H15NO3S

337.39

337.077

C, 67.64; H, 4.48; N, 4.15; O, 14.23; S, 9.50

945531-77-1

25109292

Light yellow to yellow solid powder

5.522

68.55

0

4

3

24

543

0

O=S(CC)(C1C=C2C(OC(C3C=C4C(C=CC=C4)=CC=3)=N2)=CC=1)=O

KSGCNXAZROJSNW-UHFFFAOYSA-N

InChI=1S/C19H15NO3S/c1-2-24(21,22)16-9-10-18-17(12-16)20-19(23-18)15-8-7-13-5-3-4-6-14(13)11-15/h3-12H,2H2,1H3

5-ethylsulfonyl-2-naphthalen-2-yl-1,3-benzoxazole

2934.99.9001

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)

注意: 如下所列的是一些常用的体内动物实验溶解配方，主要用于溶解难溶或不溶于水的产品（水溶度<1 mg/mL）。 建议您先取少量样品进行尝试，如该配方可行，再根据实验需求增加样品量。

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注射用配方1: DMSO : Tween 80： Saline = 10 : 5 : 85 (如： 100 μL DMSO → 50 μL Tween 80 → 850 μL Saline)
*生理盐水/Saline的制备：将0.9g氯化钠/NaCl溶解在100 mL ddH ₂ O中，得到澄清溶液。
注射用配方 2: DMSO : PEG300 ：Tween 80 : Saline = 10 : 40 : 5 : 45 (如： 100 μL DMSO → 400 μL PEG300 → 50 μL Tween 80 → 450 μL Saline)
注射用配方 3: DMSO : Corn oil = 10 : 90 (如： 100 μL DMSO → 900 μL Corn oil)
示例: 以注射用配方 3 (DMSO : Corn oil = 10 : 90) 为例说明, 如果要配制 1 mL 2.5 mg/mL的工作液, 您可以取 100 μL 25 mg/mL 澄清的 DMSO 储备液，加到 900 μL Corn oil/玉米油中, 混合均匀。

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注射用配方 4: DMSO : 20% SBE-β-CD in Saline = 10 : 90 [如：100 μL DMSO → 900 μL (20% SBE-β-CD in Saline)]
*20% SBE-β-CD in Saline的制备（4°C，储存1周）：将2g SBE-β-CD (磺丁基-β-环糊精) 溶解于10mL生理盐水中，得到澄清溶液。
注射用配方 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (如： 500 μL 2-Hydroxypropyl-β-cyclodextrin (羟丙基环胡精)→ 500 μL Saline)
注射用配方 6: DMSO : PEG300 : Castor oil : Saline = 5 : 10 : 20 : 65 (如： 50 μL DMSO → 100 μL PEG300 → 200 μL Castor oil → 650 μL Saline)
注射用配方 7: Ethanol : Cremophor : Saline = 10： 10 : 80 (如： 100 μL Ethanol → 100 μL Cremophor → 800 μL Saline)
注射用配方 8: 溶解于Cremophor/Ethanol (50 : 50), 然后用生理盐水稀释。
注射用配方 9: EtOH : Corn oil = 10 : 90 (如： 100 μL EtOH → 900 μL Corn oil)
注射用配方 10: EtOH : PEG300：Tween 80 : Saline = 10 : 40 : 5 : 45 (如： 100 μL EtOH → 400 μL PEG300 → 50 μL Tween 80 → 450 μL Saline)

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口服配方 1: 悬浮于0.5% CMC Na (羧甲基纤维素钠)
口服配方 2: 悬浮于0.5% Carboxymethyl cellulose (羧甲基纤维素)
示例: 以口服配方 1 (悬浮于 0.5% CMC Na)为例说明, 如果要配制 100 mL 2.5 mg/mL 的工作液, 您可以先取0.5g CMC Na并将其溶解于100mL ddH2O中，得到0.5%CMC-Na澄清溶液；然后将250 mg待测化合物加到100 mL前述 0.5%CMC Na溶液中，得到悬浮液。

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口服配方 3: 溶解于 PEG400 (聚乙二醇400)
口服配方 4: 悬浮于0.2% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 5: 溶解于0.25% Tween 80 and 0.5% Carboxymethyl cellulose (羧甲基纤维素)
口服配方 6: 做成粉末与食物混合

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注意: 以上为较为常见方法，仅供参考， InvivoChem并未独立验证这些配方的准确性。具体溶剂的选择首先应参照文献已报道溶解方法、配方或剂型，对于某些尚未有文献报道溶解方法的化合物，需通过前期实验来确定（建议先取少量样品进行尝试），包括产品的溶解情况、梯度设置、动物的耐受性等。

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请根据您的实验动物和给药方式选择适当的溶解配方/方案：
1、请先配制澄清的储备液(如：用DMSO配置50 或 100 mg/mL母液(储备液));
2、取适量母液，按从左到右的顺序依次添加助溶剂，澄清后再加入下一助溶剂。以 下列配方为例说明 (注意此配方只用于说明，并不一定代表此产品 的实际溶解配方):
10% DMSO → 40% PEG300 → 5% Tween-80 → 45% ddH2O (或 saline);
假设最终工作液的体积为 1 mL, 浓度为5 mg/mL: 取 100 μL 50 mg/mL 的澄清 DMSO 储备液加到 400 μL PEG300 中，混合均匀/澄清；向上述体系中加入50 μL Tween-80，混合均匀/澄清；然后继续加入450 μL ddH2O (或 saline)定容至 1 mL；
3、溶剂前显示的百分比是指该溶剂在最终溶液/工作液中的体积所占比例;
4、 如产品在配制过程中出现沉淀/析出，可通过加热(≤50℃)或超声的方式助溶;
5、为保证最佳实验结果，工作液请现配现用！
6、如不确定怎么将母液配置成体内动物实验的工作液，请查看说明书或联系我们;
7、 以上所有助溶剂都可在 Invivochem.cn网站购买。